2020-852-E Arts Commission-NC Youth Tap Ensemble NCCARES grant

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Tax forms: Upload your annual tax filings for last three years (such as IRS- 990, IRS-1055, IRS- 1040, plus any relevant schedules or forms for self- employed) n/a Upload Year-to-Date Profit and Loss or financial statement n/a Upload Year-to-Date Balance Sheet Balance_Sheet_YTD.pdf ELIGIBLE EXPENSES n/a Incurred Expenses 1870a14a-7e85-4b21-b373-2300b8736ada.xlsx CARES Funding Already Received ce229282-266d-4444-ab05-c8c3227d4813.xlsx Non-CARES Funding Recieved a236a5bc-ee63-4790-b582-237f21f94868.xlsx ACKNOW LEDGMENT Please read the following statements below and click to agree to each statement. By submitting this application, I acknowledge I have read and understood the guidelines for the NC CARES for the Arts Grant Program. I make the following representations and acknowledge agreement to the following terms and conditions: I am the duly authorized representativ e of the entity named abov e and can bind the entity to the terms of this Agreement. If funds are prov ided by NC CARES, the funds will be used for the purposes set forth abov e. I bear full responsibility for any and all tax consequences of receiv ing grant funds. The representations made by the applicant in this Application are material terms of the Agreement, as is compliance with the Grant Program. The State may cancel this Agreement at any time upon discov ery that any of the information set forth abov e is inaccurate, that these terms hav e been v iolated, or any prov ision of the Grant Program has been v iolated. If funded, the applicant will prov ide documentation as ev idence for future expenses. Documents such as receipts, bill/inv oices, monthly financial statements, and payroll ledgers. DocuSign Envelope ID: B782BEF8-92DF-49A0-BFA8-69C536CAB861